for the
Masters Program
in
Computational Materials Science
at
TU Bergakademie Freiberg
Personal Data
First Name
Date of Birth
Citizenship
:
:
:
Last Name
Place of Birth
Male
SHYAM
28-10-1994
INDIA
:
:
VIMALKUMAR
BANGALORE
Female
Correspondence Address:
Permanent Address: (if different)
Street 1
: ARUNBHAVAN, PANGAPPARA POST Street
: PLAVELIMADAM, PERUNNA WEST P O
Zip Code :
Zip Code :
695581
686102
City
: CHAVADIMUKKU, TRIVANDRUM
City
:
CHANGANACHERRY, KOTTAYAM
INDIA
Country
:
Country
:
INDIA
00918086262047
00918086262047
Phone # :
Phone #
:
shyamvk.28@gmail.com
E-Mail
:
E-Mail
:
shyamvk.28@gmail.com
Language Skills
Mother Tongue
Language :
ENGLISH 3
Language :
GERMAN 4
A1 2
A1
1
2
3
TAMIL
A2
A2
B1
B1
B2
B2
C1
C1
C2
C2
Be precise and include the street number as the address will be used for correspondence
Following the European normalization: A1 A2: Elementary; B1-B2: Intermediate; C1-C2: Upper Level.
Proof of language competency is required to join the program: TOFEL with at least 79 points (internet based), 215 (computer based) or
550 (paper based) or equivalent
4
German language is not required. All the lectures/exercises/seminars will be given in English.
Language :
Language :
A1
A1
A2
A2
B1
B1
B2
B2
C1
C1
C2
C2
YES
NO
Education
Name of Degree/Name of University
Year of
Graduation
Rank 5
GPA
8.05
2016
BOSCH - REXROTH,
TRIVANDRUM, KERALA
Date/Duration
33 WEEKS
YES
If available
NO
If YES
If NO
Accommodation
Will you need assistance to find an accommodation in
Freiberg
If Yes, what kind of accommodation will you need?
Private Room
Flat Share
Apartment
YES
NO
Student Residence
YES
NO
Hereby, I certify that all information given in this application form is true, correct and
complete. I am aware of the fact that false or incomplete information can lead to
immediate dismissal.
Place
: TRIVANDRUM
Date
26-03-2016
Signature